Ischemic colitis physical examination: Difference between revisions
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==Physical Examination== | ==Physical Examination== | ||
The physical examination findings of ischemic colitis are as foloows:<ref name="TheodoropoulouΚoutroubakis2008">{{cite journal|last1=Theodoropoulou|first1=Αngeliki|last2=Κoutroubakis|first2=Ioannis E|title=Ischemic colitis: Clinical practice in diagnosis and treatment|journal=World Journal of Gastroenterology|volume=14|issue=48|year=2008|pages=7302|issn=1007-9327|doi=10.3748/wjg.14.7302}}</ref><ref name="pmid17071206">{{cite journal |author=Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F |title=Ischemic colitis |journal=Am. J. Surg.|volume=192 |issue=5 |pages=679–84 |year=2006 |pmid=17071206 | doi=10.1016/j.amjsurg.2005.09.018}}</ref> | The physical examination findings of ischemic colitis are as foloows:<ref name="TheodoropoulouΚoutroubakis2008">{{cite journal|last1=Theodoropoulou|first1=Αngeliki|last2=Κoutroubakis|first2=Ioannis E|title=Ischemic colitis: Clinical practice in diagnosis and treatment|journal=World Journal of Gastroenterology|volume=14|issue=48|year=2008|pages=7302|issn=1007-9327|doi=10.3748/wjg.14.7302}}</ref><ref name="pmid17071206">{{cite journal |author=Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F |title=Ischemic colitis |journal=Am. J. Surg.|volume=192 |issue=5 |pages=679–84 |year=2006 |pmid=17071206 | doi=10.1016/j.amjsurg.2005.09.018}}</ref> | ||
* [[Abdominal pain]] in 77% of patients | *Abdomen reveals mild to moderate tenderness over the affected area of the colon. | ||
* [[Abdominal tenderness]] in 21% of patients | **[[Abdominal pain]] in 77% of patients | ||
**[[Abdominal tenderness]] in 21% of patients | |||
*Rectal examination shows heme-positive stools. | *Rectal examination shows heme-positive stools. | ||
* | *Severe ischemia with transmural infarction and necrosis. | ||
**Marked abdominal tenderness with peritoneal signs. | |||
==References== | ==References== | ||
Revision as of 18:44, 8 January 2018
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Hamid Qazi, MD, BSc [2]
Overview
Ischemic colitis is characterized by abdominal pain which is out of proportion to physical findings, specifically excruciating abdominal pain despite limited focal tenderness.
Physical Examination
The physical examination findings of ischemic colitis are as foloows:[1][2]
- Abdomen reveals mild to moderate tenderness over the affected area of the colon.
- Abdominal pain in 77% of patients
- Abdominal tenderness in 21% of patients
- Rectal examination shows heme-positive stools.
- Severe ischemia with transmural infarction and necrosis.
- Marked abdominal tenderness with peritoneal signs.
References
- ↑ Theodoropoulou, Αngeliki; Κoutroubakis, Ioannis E (2008). "Ischemic colitis: Clinical practice in diagnosis and treatment". World Journal of Gastroenterology. 14 (48): 7302. doi:10.3748/wjg.14.7302. ISSN 1007-9327.
- ↑ Huguier M, Barrier A, Boelle PY, Houry S, Lacaine F (2006). "Ischemic colitis". Am. J. Surg. 192 (5): 679–84. doi:10.1016/j.amjsurg.2005.09.018. PMID 17071206.